Psychosocial stress, sleep quality and interest in mind-body integrative health sleep intervention among urban adolescents in the school-based health setting.

Abstract Background Mind-body integrative health (MBIH) interventions to improve adolescent sleep are lacking. The study characterized sleep quality and bedtime-related psychosocial stressors among urban minority adolescents, explored associations between demographics factors, stressors and sleep quality, and gauged interest in a MBIH sleep intervention. Materials and methods 167 school-based health center (SBHC) patients (mean age = 16.3; 64% female; 68% Latino) participated in a needs assessment as part of a quality improvement project. They reported bedtime-related psychosocial stressors using items from the Adolescent Sleep Hygiene Scale (ASHS), sleep quality using the Pittsburgh Sleep Quality Index (PSQI), and interest in a MBIH-based sleep intervention. Chi-square and logistic regression examined associations between demographics, stressors, sleep quality, and interest in the intervention. Results 67% had poor sleep quality. Females, compared to males, had 2.23 higher odds (95% Confidence Interval [CI]: 1.12, 4.42) of having poor sleep quality. Nearly 80% experienced bedtime-related stressors (25% experienced one stressor, 17% two stressors and 37% three or more stressors); relative to those reporting no stressors, those reporting 3+ stressors had 3.15 higher odds (95% CI: 1.27, 7.84) of having poor sleep quality. Most (77%) reported they would participate in an SBHC-based intervention that utilized MBIH modalities preferring both one-on-one and group sessions. Conclusions Urban, predominantly Hispanic and Black, SBHC adolescent patients have poor sleep quality and report bedtime-related psychosocial stressors. Their interest in MBIH interventions to address sleep problems represents a unique opportunity for practitioners and complementary therapists to offer MBIH interventions to a population at high-risk for poor sleep quality.